TY - JOUR KW - autophagy KW - chemo-resistance KW - cholesterol biosynthesis KW - cisplatin KW - embryonic diapose KW - minimal residual disease KW - patient-derived tongue cancer organoids AU - Miwako Sase AU - Taku Sato AU - Hajime Sato AU - Fuyuki Miya AU - Shicheng Zhang AU - Hiroshi Haeno AU - Mihoko Kajita AU - Tadahide Noguchi AU - Yoshiyuki Mori AU - Toshiaki Ohteki AB - The relapse of tongue cancer (TC) after chemotherapy is caused by minimal residual disease (MRD), which is a few remaining cancer cells after chemotherapy. To understand the mechanism of MRD in TC, we created a library of TC organoids (TCOs) from 28 untreated TC patients at diverse ages and cancer stages. These TCOs reproduced the primary TC tissues both in vitro and in a xenograft model, and several TCO lines survived after cisplatin treatment (chemo-resistant TCOs). Of note, the chemo-resistant TCOs showed “heritable” embryonic diapause-like features before treatment and activation of the autophagy and cholesterol biosynthetic pathways. Importantly, inhibiting these pathways with specific inhibitors converted the chemo-resistant TCOs into chemo-sensitive TCOs. Conversely, autophagy activation with mTOR inhibitors conferred chemo-resistance on the chemo-sensitive TCOs. This unique model provides insights into the mechanism of MRD formation in TCs, leading to effective therapeutic approaches to reduce the recurrence of TC. BT - Developmental Cell DA - 2024-11-05 DO - 10.1016/j.devcel.2024.10.007 N2 - The relapse of tongue cancer (TC) after chemotherapy is caused by minimal residual disease (MRD), which is a few remaining cancer cells after chemotherapy. To understand the mechanism of MRD in TC, we created a library of TC organoids (TCOs) from 28 untreated TC patients at diverse ages and cancer stages. These TCOs reproduced the primary TC tissues both in vitro and in a xenograft model, and several TCO lines survived after cisplatin treatment (chemo-resistant TCOs). Of note, the chemo-resistant TCOs showed “heritable” embryonic diapause-like features before treatment and activation of the autophagy and cholesterol biosynthetic pathways. Importantly, inhibiting these pathways with specific inhibitors converted the chemo-resistant TCOs into chemo-sensitive TCOs. Conversely, autophagy activation with mTOR inhibitors conferred chemo-resistance on the chemo-sensitive TCOs. This unique model provides insights into the mechanism of MRD formation in TCs, leading to effective therapeutic approaches to reduce the recurrence of TC. PY - 2024 T2 - Developmental Cell TI - Comparative analysis of tongue cancer organoids among patients identifies the heritable nature of minimal residual disease UR - https://www.sciencedirect.com/science/article/pii/S1534580724006075 Y2 - 2025-01-13 SN - 1534-5807 ER -